Provider Demographics
NPI:1639439953
Name:CUETO, VICTOR JR (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:CUETO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VICTOR
Other - Middle Name:
Other - Last Name:CUETO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8932 SW 97TH AVE STE G
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1936
Mailing Address - Country:US
Mailing Address - Phone:305-270-3485
Mailing Address - Fax:305-270-3486
Practice Address - Street 1:8932 SW 97TH AVE STE G
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1936
Practice Address - Country:US
Practice Address - Phone:305-270-3485
Practice Address - Fax:305-270-3486
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10523900207R00000X, 208000000X
FLME140098207RB0002X, 208000000X, 2080B0002X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080B0002XAllopathic & Osteopathic PhysiciansPediatricsObesity Medicine